NPI | 1184360331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019549) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL APRN11019549) |
207Q00000X Family Medicine (Licence: FL APRN11019549) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL APRN11019549) | |
Enumeration Date | 2022-05-10 |
Last Update Date | 2023-02-01 |